KIDANU BIRHANU MD SC
Osteopathic Medicine at 95 St, Oak Lawn, IL

License number
Illinois 036072060
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: KIDANU BIRHANU M.D
Title: PHYSICIAN
Phone: (708) 229-1395
Address
Address
5660 W 95Th St SUITE 3, Oak Lawn, IL 60453
National Provider ID: 1154548121
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIDANU BIRHANU, M.D., S.C

Oak Lawn, IL 60453

Registration:
Feb 11, 2003
State ID:
62638451
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
David J Hochman,7250 N Cicero Ave STE 200, Lincolnwood, IL 60712 (Physical)

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